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61	Maternal and Child Health	ABS-69
Adherence to Iron Supplement Intake During Pregnancy and Associated Factors in Indonesia: Further Analysis of Indonesia Demographic and Health Survey 2017 Dewi Muthia Charissa Akhyudi (a*), Erni Astutik (b) a) Master of Epidemiology, Faculty of Public Health, University of Airlangga, Indonesia *dewi.muthia.charissa-2022[at]fkm.unair.ac.id b) Departement of Epidemiology, Faculty of Publich Health, University of Airlangga, Indonesia Abstract Iron supplementation for at least 90 days during the most recent births pregnancy is required for adherence to iron supplement intake. Miscarriage, stillbirths, preterm, low birth weight, congenital deformities and perinatal mortality are some risks of iron folic acid deficiency during pregnancy. This study aimed to determine the proportion of adherence to iron supplement intake and its associated factors among women during pregnancy in Indonesia. This study was a cross sectional design and based on a secondary analysis of 2017 Indonesia Demographics Health Survey (DHS) data. Sampling was done by analysing selected individual data with a target population of reproductive women aged 15-49 years who had children aged zero-five years in Indonesia which is for the sample in this study was 12.778 women of reproductive age. Chi-square test analyses were performed to identify factors associated with adherence to iron supplement intake (OR with a 95% confidence interval (CI) and p-value <0,05 were used to declare statistical significant). Our analysis revealed that almost half of the women among pregnancy who consumed <90 iron tablets (44,4%). Type of place of residence (OR=1,53 95%CI:1,37-1,71), timing of first ANC (OR=2,09 95%CI:1,84-2,37), number of ANC (OR=5,12 95%CI:4,11-6,38), wealth index (OR=1,70 95%CI:1,53-1,88), mothers education (OR=1,34 95%CI:1,20-1,49), problem in accessing healthcare (OR=1,32 95%CI:1,17-1,49) and internet access (OR=1,71 95%CI: 1,56-1,87) were associated with iron supplement intake during pregnancy. Interventions to enhance the uptake of iron supplementation better focus on early and frequency of antenatal care visits during pregnancy. Encouraging health promotion through the mass media and support efforts from government to improving socio-economic factors are needed too. Keywords: iron folic acid deficiency, iron supplement intake, pregnancy, Indonesia Share Link | Plain Format | Corresponding Author (Dewi Muthia Charissa Akhyudi)

62	Maternal and Child Health	ABS-72
Patient Satisfaction Analyzed Based on Healthcare Quality Service Aspects of Maternal and Child In Eastern Indonesia Vivi Retno Intening(a), Mytha Febriany Pondaang (b*), Aries Wahyuningsih (c) a) Nursing Program, STIKES Bethesda Yakkum Yogyakarta, Indonesia b) Midwifery Program, STIKES Griya Husada Surabaya, Indonesia *mythapondaang[at]gmail.com c) Hospital Administration Program, STIKES RS Baptis Kediri, Indonesia mythapondaang[at]gmail.com Abstract Indonesia Emas (Golden Indonesia) in 2024 requires equitable quality health services, focusing on infrastructure, staff distribution, and funding. Eastern Indonesia, facing difficulties in accessing health services, needs more attention to improve maternal and child health. Priority projects aim to lower mortality and sickness incidence, and understanding healthcare service quality is crucial for developing an equal program. Evaluation of the quality of maternal and child health services is necessary to develop appropriate programs for improving maternal and child health, especially in eastern Indonesia. The purpose of this study is to evaluate the quality of mother-and-child health care in three private hospitals in Eastern Indonesia and to generate a plan for improving health service programs. This study used a descriptive analytic design with secondary data from three private hospitals in eastern Indonesia. In this study, 230 respondents-all patients-were selected using a purposive sample technique. The tool utilized is a patient satisfaction instrument that evaluates the reliability, responsiveness, assurance, tangibles, and empathy of maternity and child services in three hospitals in Eastern Indonesia. Three private hospitals in eastern Indonesia provide excellent maternity and child health care in the areas of responsiveness (57.4%), reliability (55.7%), empathy (54.8%), assurance (53.5%), and tangibles (40.4%). For the percentage of dissatisfaction, namely aspects of reliability (5.2%), empathy (2.6%), tangibleness, responsiveness, and assurance at the same percentage (0.9%). All facets of health care quality require the development of strategic plans, but the concrete facets-hospital infrastructure, facilities, and infrastructure-as well as facilities that support the caliber of maternal and child health services-need specific attention. The most dominant aspect of very satisfactory service quality is responsiveness, whereas the reliability factor has the highest dissatisfaction rating. Cross-sectoral collaboration is required to improve all five components of maternity and child care quality, particularly in eastern Indonesia. Keywords: quality service- mother and child- eastern Indonesia- healthcare- patient satisfaction Share Link | Plain Format | Corresponding Author (Mytha Febriany Pondaang)

63	Maternal and Child Health	ABS-76
Correlation Between Percentage of Low Birth Weight with Percentage of Stunting Incidence in East Java Province 2022 Itsnatur Rizkiyah Apriliyanti 1, Lucia Yovita Hendrati 2* 1 Master of Epidemiology, Faculty of Public Health, Universitas Airlangga, Indonesia 2 Departement of Epidemiology, Faculty of Public Health, Universitas Airlangga, Indonesia *lucia-y-h[at]fkm.unair.ac.id Abstract Background: stunting is still a health problem in East Java Province. Stunting experienced by toddlers can have a negative impact on their future. Low birth weight can cause stunting. Purpose: this study aims to analyze the correlation between the percentage of low birth weight with the percentage of stunting incidence in East Java Province 2022. Methods: this study was conducted using secondary data from East Java Province Health Profile 2022 with the number of units of analysis being 38 districts/city levels. The design of the study was cross-sectional. The variables analyzed were the percentage of low birth weight and the percentage of stunting incidence. Geographical mapping of the distribution of district/city with the stunting area was made using Health Mapper. Analysis of the correlation between variables using Pearson test with Statistical Product and Service Solutions. Results: the results of the normality test showed that all variables had a normal distribution. Pearson analysis between low birth weight with incidence of stunting showed p value = 0.002 (p <0.05). The strength of the correlation between low birth weight with incidence of stunting is a medium category (0.494). This result means that there is a positive relationship between the two variables. Decreasing the percentage of low birth weight can reduce the percentage of stunting incidence. Conclusion: the results of this research can be a reference for health services and scientific development. It is hoped that there will be an active role in health promotion for women about nutrition for women and toddlers in preparation before and after birth to reduce low birth weight which has an impact on stunting. It is hoped that other researchers will be able to analyze other factors related to stunting such as parental characteristics, infectious diseases, and the environment. Keywords: Low Birth Wight- Stunting- Toddlers Share Link | Plain Format | Corresponding Author (Itsnatur Rizkiyah Apriliyanti)

64	Maternal and Child Health	ABS-94
APPLICATION OF OKETANI BREAST MASSAGE (OBM) TO INCREASE BREAST MILK PRODUCTION IN POST SECTIO CAESAREA (SC) Hardiyanti, Yanita Trisetiyaningsih Universitas Jend Achmad Yani Yogyakarta Abstract Introduction: Post-Sectio Cesarean mothers often experience problems in breastfeeding. According to Widiastuti & Jati (2020), mothers who deliver by caesarean section experience irregular milk production. The results of the research showed that as many as 82% of mothers using the SC delivery method experienced problems with smooth breast milk production. Oketani massage or oketani breast massage is a breast treatment that can provide comfort, relieve pain, and increase breast milk production in post partum mothers.. Objective: To determine the effectiveness of the Oketani Breast Massage (OBM) action to increase breast milk production in post sectio caesarea (SC) mothers. Method: The design used in this writing is a case study of post-sectio secarean mothers. Oketani massage is carried out for 3 days with a frequency of 2 times a day with a duration of 15-30 minutes. The outcome evaluation (breast milk production) is carried out every day by evaluating the amount of breast milk production. Results: The problem of ineffective breastfeeding related to inadequate breast milk supply in post-SC mothers can be resolved after oketani massage is carried out 6 times in a period of 3 days. This is proven by an increase in breast milk production from day 1 to day 3. Conclusion: The results of this study are in line with previous research which stated that the application of massage intervention Keywords: Sectio Secarean, Oketani Breast Massase Share Link | Plain Format | Corresponding Author (YANITA TRISETIYANINGSIH)

65	Maternal and Child Health	ABS-100
THE EFFECT OF FLASHCARD EDUCATION ON PREMARITAL SEXUAL BEHAVIOR IN ADOLESCENT Latifah Susilowati1, Dwi Yati1, Lily Yulaikhah2 1Nursing Study Program, Faculty of Health, Universitas Jenderal Achmad Yani Yogyakarta, Indonesia 2Midwife Study Program, Faculty of Health, Universitas Jenderal Achmad Yani Yogyakarta, Indonesia Abstract Background: Teenagers who experience puberty in their bodies appear sex hormones that begin to work, resulting in a sense of attraction to the opposite sex. Premarital sex is a behavior that is carried out based on sexual desire in adolescents. Adolescent knowledge and sources of information received by adolescents are important points in efforts to prevent premarital sexual behavior. The preventive efforts can be done by providing education about the right information to adolescents through various methods and media. One of them is education using flashcard media. Purpose: To determine the effect of education on premarital sexual behavior using flashcard media. Methods: This study design was a quasi-experimental pre-test-post test design with control group. The number of samples in this study were 60 which were divided into two groups, the control group and the intervention group with the inclusion criteria being adolescents aged 15-17 years and were or had been dating. The intervention group received treatment in the form of pre-marital sexual behavior education with flashcard media. While the control group received pre-marital sexual behavior education treatment using the lecture method. Before and after the intervention in each group, researchers conducted a pretest and posttest using a pre-marital sexual behavior questionnaire and data were analyzed using the Wilcoxon test. Result : There was a difference in the average score of premarital sexual behavior in the intervention group after receiving flashcard education intervention with p value = 0.010 (p <0.05). Conclusion: Education using flashcard affects premarital sexual behavior in adolescents. Preventive and promotive efforts of premarital sexual behavior in adolescents using flashcard media are an alternative for nurses in providing counseling. Keywords: Flashcard- premarital sexual- adolescent Share Link | Plain Format | Corresponding Author (Latifah Susilowati)

66	Maternal and Child Health	ABS-105
DETERMINANT FACTORS OF SELF-EFFICACY IN USING CONTRACEPTIVE METHODS Lenna Maydianasari1, Dewi Nawang Sari2, Annisa Rahmidini3, Putri Dea Ananda4, Desta Syawalia5, Indri Octaviani Putri Fermana6 1,4 Midwifery Study Programme, Faculty of Health Sciences, University of Respati Yogyakarta, Indonesia 2,5 Midwifery Study Programme, Faculty of Health Sciences, University of Respati Indonesia, Indonesia 3,6 Midwifery Study Programme, STIKes Respati Tasikmalaya, Indonesia Abstract Background:The level of effectiveness of short-term contraceptive methods in controlling pregnancy is lower than long-term contraceptive methods (MKJP), but most acceptors choose to use injections and pills. It can be seen from data on the number of MKJP acceptors in 2021 in Jakarta, namely 36.02%, while the number of MKJP acceptors in Yogyakarta was 38.8% and 21.2% in West Java. The data show that MKJP acceptors in three different regions are below the Modern Contraceptive Prevalence Rate (mCPR) target of 63.41% in 2024. Self-efficacy is one of the factors that influence health behavior, which consists of knowledge, expected results, personal health goals, perceived facilitators, and obstacles. Therefore, it is necessary to further examine the determinants of self-efficacy in using contraceptive methods. Objectives: The aim of the research is to examine the factors that influence self-efficacy in using contraceptive methods. Method:The research population was 1,301 MKJP acceptors (IUD, Implant, and MOW) in three regions, and a sample of 306 MKJP acceptors was taken using a cluster random sampling technique. The research instrument uses a questionnaire and interview guide. The data analysis technique uses the chi-square test. Results: Most of the respondents were >30 years old (82.4%), had a high school and tertiary education background (82.7%), did not have a job (65%), had 0-2 children (68.3%), had a history of using MKJP contraception (52.9%), and had positive self-efficacy (81.00%). There was a significant correlation between previous history of using contraception and self-efficacy (p-value = 0.007), while age, education background, occupation, and number of children did not have a significant correlation with self-efficacy (p-value>0.05). Conclusion: The determinant factor for self-efficacy in using contraceptive methods is the history of using contraceptives Keywords: contraception-efficacy-determinants Share Link | Plain Format | Corresponding Author (Lenna Maydianasari Maydianasari)

67	Maternal and Child Health	ABS-107
THE BEHAVIOR OF MENSTRUAL HYGIENE MANAGEMENT OF ADOLESCENT GIRLS WITH MENTAL DISABILITIES IN YOGYAKARTA, INDONESIA Masta Hutasoit1,2*, Devi Nalappan3, Erlina Abdullah4 2PhD Student in Nursing, Lincoln University College, Malaysia *2Lecturer, Bachelor of Nursing, Jenderal Achmad Yani University Yogyakarta, Indonesia *3Lecturer, Faculty of Health Science, Lincoln University College, Malaysia 4Lecturer, Faculty of Health Science, Lincoln University College, Malaysia Abstract ABSTRACT Background: Physically, adolescents with intellectual disabilities just like other adolescents both experience menstruation as a marker of their entering the stage of puberty. The difference is, adolescent girls with intellectual disabilities have below normal intelligence, which causes them to have difficulty in adapting and practicing hygiene during menstruation. Menstrual hygiene management needs to be applied to prevent the emergence of infections in reproduction due to negligence in maintaining the cleanliness of the female area, especially during menstruation. Young women with intellectual disabilities in the menstrual phase certainly have difficulties when practicing menstrual hygiene behavior. Purpose: to know the incidence of behaviour of menstrual hygiene in adolescent girls with mental dissabilities. Method: This study is a descriptive non-experimental quantitative research. Respondents were mentally disabled adolescent gils who had experienced menstruation as many as 30 respondents who were taken by total sampling. Research instrument with questioner measuring instrument behaviour menstrual hygiene management. The data analysis used was univariate analysis using frequency distribution. Results: The results showed that the age of adolescent girls with mental disabilities was mostly 56.7% 16-18 years old, 60%, Education Most of them were in junior high school 66.7% of adolescents had received information about menstrual hygiene by 60%, and 40% of the information was obtained from mothers. Menstrual hygiene behavior is in the range of 53.3%. Conclusion: Menstrual hygiene management behavior in adolescent girls with intellectual disabilities in SLB N 1 Bantul is mostly included in the sufficient category, which is 53.3%. Keywords: Adolescents, mental disability, menstrual hygiene management, behavior Share Link | Plain Format | Corresponding Author (Masta Hutasoit)

68	Maternal and Child Health	ABS-108
The Effect of Lemon (Cytrus) Aromatherapy on Adolescent Anxiety on The Occurrence of Dysmenorrhea at The Islamic Boarding School of Bin Baz Islamic Center Dwi Yati ,Latifah Susilowati , Ratih Kumoro Jati Universitas Jenderal Achmad Yani Yogyakarta Abstract Background: Dysmenorrhea (menstrual pain) is a problem that teenagers often complain about when they menstruate. This condition can get worse if accompanied by an unstable psychological condition, such as stress, depression, anxiety excessive, or sad state. Objective: This study aims to determine the effect of lemon (Cytrus) aromatherapy on adolescent anxiety in the occurrence of dysmenorrhoea at the Islamic Boarding School of Bin Baz Islamic Center. Method: This research applies quantitative methods using the concept of one group pre-test post-test. The population in this study was 70 female students who were menstruating. The sample was taken using a purposive sampling technique consisting of 39 respondents. The research location was at the Islamic Boarding School of Bin Baz Islamic Center the time of the research was April-May 2023. The measuring tool used in this research was a questionnaire. Data analysis used the Wilcoxon signed rank test. Results: Before being given lemon (Cytrus) aromatherapy, the majority of respondents, namely 71.8%, experienced mild anxiety, 20.5% experienced moderate anxiety and 7.7% experienced severe anxiety.After being given lemon (Cystrus) aromatherapy, there was a decrease in anxiety, as many as 92.3% experienced no anxiety, 5.1% had mild anxiety, and 2.6% had moderate anxiety. The results of the Wilcoxon signed ranked test showed a value of p=0.001 (p<0.05), meaning that there was a difference in the level of dysmenorrhoea anxiety between before and after giving lemon (Cytrus) aromatherapy. Conclusion: Lemon (Cytrus) aromatherapy has an effect on reducing the anxiety level of dysmenorrhoea at Islamic Boarding School of Bin Baz Islamic Center students. Keywords: Adolescents, Dysmenorrhea, Anxiety, Lemon (Cytrus) Aromatherapy Share Link | Plain Format | Corresponding Author (Dwi Yati)

69	Maternal and Child Health	ABS-109
EDUCATION ON MENSTRUAL HYGIENE TO IMPROVE THE BEHAVIOR OF ADOLESCENT GIRLS WITH MENTAL DISABILITIES IN SLB NEGERI 1 BANTUL Masta Hutasoit1*, Yanita Trisetiyaningsih2, Nur^Aini Purnamaningsih3 *1Nursing Study Program, Faculty of Health, Jenderal Achmad Yani University Yogyakarta, Indonesia 2Nursing Study Program, Faculty of Health, Jenderal Achmad Yani University Yogyakarta, Indonesia 3Blood Bank Technology Study Program Faculty of Health , Jenderal Achmad Yani University Yogyakarta, Indonesia Abstract ABSTRACT Background: Menstruation is one of the signs that an adolescent girl entered the puberty phase. During the menstrual phase, the feminine area is often moist so that if it is not kept clean, it can cause infections in the reproductive tract. Menstrual Hygiene is an action taken to maintain cleanliness during the menstrual phase. Adolescent girl with mental disabilities experience difficulties in practicing menstrual hygiene, so it is necessary to provide an intervention of education. Providing information can be through animated videos and demonstrations about menstrual hygiene on the ability to practice menstrual hygiene in adolescent girls at SLB N 1 Bantul. Purpose: to determine the improvement of menstrual hygiene behavior in adolescent girls after being given education. Method: This study is a quantitative research with a quasi-experimental pre test-post test without control group design. Respondents were mentally disabled adolescent gils who had experienced menstruation as many as 30 respondents who were taken by total sampling. The intervention provided was education with animated videos and demonstrations about menstrual hygiene practices. Before and after the intervention, pre-test and posttest were given in the form of behavioral questionnaires about menstrual hygiene. The data analysis used was univariate analysis using frequency distribution and bivariate analysis using paired t test. Results: The initial behavior of adolescents before the educational intervention averaged 50.67 (34-68), while after the intervention the average behavior was 64.7 (49-80), there was an increase in behavior of 14.03. Analysis using the Paired-Sample T-Test obtained a p value of 0.000 (p < 0.05) meaning that there is an educational influence on improving the behavior of adolescents with disabilities in menstrual hygiene Conclusion: There is a significant effect of providing education on menstrual hygiene management behavior among adolescents in SLB Negeri 1 Bantul Keywords: Menstrual Hygiene, Young Women, Mental disability, Education Share Link | Plain Format | Corresponding Author (Masta Hutasoit)

70	Maternal and Child Health	ABS-118
FACTORS ASSOCIATED WITH UNMET NEED FOR FAMILY PLANNING AMONG COUPLES OF REPRODUCTIVE AGE (PUS) IN BANTUL DISTRICT, D.I. YOGYAKARTA Afi Lutfiyati, Dwi Susanti Universitas Jenderal Achmad Yani Yogyakarta Abstract Background: A useful measure of the gap between woman^s reproductive desires and the provision of health services is the estimation of unmet need for contraception or called the unmet need for family planning. This indicator refers to women who wish to delay or limit births but didn^t use contraceptive methods to achieve them. One of the reasons why unwanted pregnancies occur were because they did not use contraception, especially married women. If unmet needs were eliminated, fertility would decrease substantially. From a policy perspective, reducing unmet need were important for achieving demographic goals and improving individual rights. Purpose: To identify the association between access to health services, level of knowledge about family planning, sources of information, discussion of family planning methods with husband, and husband^s support for family planning with unmet need for family planning and to identify the factors that most associated with unmet need for family planning in Bantul District, D.I. Yogyakarta. Methods: Quantitative research design using a cross-sectional approach. Samples were taken using a cluster random sampling technique, namely 331 couples of reproductive age in Wonokromo I and Wonokromo II villages. Data collection were used a questionnaire in May and June 2021. The research instrument was a questionnaire. The results were analyzed bivariately using Chi-square test and multivariate with logistic regression. Results: Chi-square test on variables of knowledge about family planning p=0.406, access to family planning services with p-value=0.005, sources of information p=0.001, discussion of family planning methods with husbands p=0.001, and husband^s support in family planning with p=0.001. The OR value of discussing about family planning methods with husband were 6.3. Conclusion: There was an association between sources of information, discussion of family planning methods with husbands, and husband^s support in family planning with unmet need for family planning in Bantul district, D.I. Yogyakarta. There was no association between knowledge about family planning, access to family planning services with unmet need for family planning in Bantul district, D.I. Yogyakarta. The most dominant factor associated with unmet need for family planning in Bantul district, D.I. Yogyakarta was a discussion of family planning methods with husband. Keywords: Unmet need, family planning, couples of reproductive age/PUS Share Link | Plain Format | Corresponding Author (AFI LUTFIYATI)

71	Maternal and Child Health	ABS-121
QUALITATIVE STUDY OF THE CHARACTERISTICS OF THE CAUSES OF STUNTING IN THE VILLAGE Tyas Ning Yuni Astuti Anggraini13, Hartono2 , Eni Lestari1, Haryani Saptaningtyas1 1Sebelas Maret University (Development Counseling/Community Empowerment program, Post Graduate School, Sebelas Maret University, Indonesia) 2Sebelas Maret University (Department of Physiology, Faculty of Medicine, Sebelas Maret University, Surakarta, Indonesia.) 3Jenderal Achmad Yani Yogyakarta University (Midwifery Program, Faculty of Health, Jenderal Achmad Yani Yogyakarta, Yogyakarta, Indonesia.) Abstract Background: Stunting is the result of chronic and recurrent undernutrition in mothers and children. The current stunting condition in the world is 22% in 2020 or 149.2 million children suffering from stunting. In Indonesia alone, it is currently 21.6%. Many stunting conditions occur in rural areas. Characteristics are seen based on the conceptual framework according to WHO. Purpose: The purpose of this study was to explore the characteristics of the causes of stunting in the village. Methods: The research design used was descriptive qualitative on 10 pairs of parents who had stunted children aged 2-5 years who lived in the village. Snowball sampling. The research was conducted in October 2023. Data were collected using a semi-structured interview method. Data were analyzed using interactive data analysis techniques, namely data reduction, data presentation and conclusion. Results: From the results of the study, it was found that the characteristics were divided into two, according to parent and child pairs. Parental couples mostly have young and old ages, 35% each, most of them have high school education by 40%, parents^ jobs as housewives and self-employed by 30% each. The characteristics of children who are stunted, the majority are male by 70%, most of them are the second child by 40%, the history of birth stunted is small by 30%, the history of underweight by 20%, with the current condition 100% stunted. Interactive analysis found that the causes of stunting are lack of nutrition during pregnancy, getting married at a young age, not being psychologically ready when getting married, declining economic conditions, lack of children^s social interaction, children^s difficulty eating, and children^s lack of attention when the family experiences covid 19 illness. Conclusion: The results of this study highlight the characteristics of children at birth are not all in a stunted condition, but in their journey if less attention can cause stunted children. Keywords: Characteristics, Causes Of Stunting, Village. Share Link | Plain Format | Corresponding Author (Tyas Ning Yuni Astuti Anggraini Anggraini)

72	Maternal and Child Health	ABS-122
Influence of Infant Massage Health Education on Maternal Attitudes in Tempelrejo Village, Sragen Regency Alisa Rizky Mauludia1, Tyas Ning Yuni Astuti Anggraini2 1Bachelor^s Degree Student in Midwifery, Faculty of Health Sciences, Universitas Jenderal Achmad Yani Yogyakarta, Indonesia. 2Lecturer in Midwifery, Faculty of Health Sciences, Universitas Jenderal Achmad Yani Yogyakarta, Indonesia. Corresponding Author: alisamauludia[at]gmail.com Abstract Background: The first 1000 days of life, also known as the Golden Age Period, encompass the period from pregnancy to a child^s second birthday. Some sources extend this period up to five years, but the most critical phase is typically considered to be from birth to two years of age. Infant massage is one form of kinesthetic stimulation that offers various physiological and biochemical benefits to children. Despite the numerous advantages, many mothers hesitate to massage their infants due to concerns about doing it incorrectly and potentially causing harm. Additionally, some believe that infants should not be massaged frequently as their bodies are still fragile. To bring about behavioral changes, it is essential to enhance knowledge, leading to positive attitudes and a shift in individuals^ perspectives, ultimately turning reluctance into acceptance and the adoption of healthy behaviors. Objective: To determine the influence of infant massage on maternal attitudes in Tempelrejo Village, Sragen Regency. Methods: This research employed a quasi-experimental design with a before-and-after approach without a comparison group. The study involved a sample of 30 mothers with children aged 0-5 years. Quota sampling was used as the sampling technique. Findings: Maternal characteristics included age, education, occupation, information about infant massage, sources of infant massage information, experience with infant massage, and infant massage therapists. The pretest yielded a mean score of 13.13, while the posttest yielded a mean score of 15.90 with a p-value of 0.000 (p<0.05). Conclusion: There is an influence of infant massage education on maternal attitudes in Tempelrejo Village, Sragen Regency, with an average difference of 2.77. Keywords: Health Education- Infant Massage- Maternal Attitude. Share Link | Plain Format | Corresponding Author (ALISA RIZKY MAULUDIA)

73	Mental Health and Holistic care	ABS-2
VIEWING GENDER ROLES AS AN ASPECT OF DECISION-MAKING IN FARMING FAMILIES IN JEMBER REGENCY WITH A TRANSCULTURAL NURSING PERSPECTIVE Fitrio Deviantony universitas jember Abstract Background: Economic problems are one of the factors causing the decline in the welfare of farming families in Indonesia. This condition makes a woman or wife also have to enter into the realm of making decisions on important matters in the family. This, of course, will make a change regarding the family^s primary decision maker, which in most certain cultures is held by the husband or men in the house Purpose: This study explores family experiences in seeing gender roles in decision-making activities in farming families Methods: The research design used is a qualitative design with an interpretive phenomenological approach. Data collection techniques used in-depth interviews with semi-structured interview guidelines involving ten participants, and data were analyzed using interpretive phenomenological analysis Results: The research contains five themes: 1) Division of roles based on gender- 2) work motivation- 3) time outpouring- 4) Access and control- 5) Social Activities Conclusion: This phenomenon has both positive and negative impacts. Where the positive impact of this phenomenon is that families are able to work together mutually to be able to improve the welfare of family life by dividing existing roles properly. However, if this division of roles does not go well, there will be a gap and there will be a miss perception of the existing culture that the highest decision holder in the household is a man or husband, so it is very necessary for community nurses as the frontline to be able to mediate in relation to the problem of gender roles in society, especially farmers in the Jember district. Keywords: family, gender roles, decision making,farmers. Share Link | Plain Format | Corresponding Author (Fitrio Antony)

74	Mental Health and Holistic care	ABS-4
Differences Between Depression Levels In Older People Who Live In A Social Home And A Home Laili Nur Hidayati, Ervina Kusuma Wardani School of Nursing, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia Abstract ABSTRACT Background: Elderly is someone who has reached 60 years and over. The older the elderly, the more they experience physical or mental illness. Depression is a mental disorder that is often experienced by the elderly. Depression is a condition in which someone feels excessively sad, excessively disappointed, which is a mental health problem. Purpose: To analyze and find out whether there are differences in the level of depression in the elderly living in BPSTW and at home. Methods: Quantitative method with a descriptive comparative cross-sectional method. The research instrument used a geriatric depression scale questionnaire with 15 questions. The number of samples is 150 with purposive sampling technique. The data was tested with the Mann-Whitney test. Results: There are differences in the level of depression in the elderly living in BPSTW and at home. The results of the Mann-Whitney test, p value = 0.000, means that there is a significant difference in the level of depression in the elderly living in BPSTW and at home. Conclusion: There are differences in the level of depression in the elderly living in BPSTW and at home. The results of this study can be used to pay more attention to the psychological needs of the elderly. Keywords: Depression, Elderly, GDS Share Link | Plain Format | Corresponding Author (Laili Nur Hidayati)

75	Mental Health and Holistic care	ABS-6
Analysis of Characteristics, Information Motivation Behavioral Skills in HIV Patients to Improve Antiretroviral Adherence Royani Chairiyah1, Widanarti Setyaningsih2 1 (Midwifery, Faculty of Midwifery Nursing, Binawan University, Indonesia) 2 (Nursing, Faculty of Midwifery Nursing, Binawan University, Indonesia) Corresponding author: royani.chairiyah[at]binawan.ac.id Abstract Background: People with HIV/AIDS require treatment with antiretrovirals (ARVs) to reduce viral load and increase CD4 counts through Motivational Behavioral Skills (IMB). Information Motivational Behavioral Skills (IMB) intervention aims to improve adherence to taking ARV drugs for patients suffering from HIV so that the patient^s quality of life can improve. Purpose: This study aims to analyze the application of information motivation behavioral (IMB) skills intervention in people with HIV / AIDS to improve adherence to taking ARV drugs at the Kramat Jati District Health Center. Methods: The design of this study was quantitative with a cross sectional approach, the population of all patients who came to the HIV poly of the Kramat Jati Health Center from August 3 to November 24, 2022 sampled 74 patients undergoing ARV therapy at the Kramat Jati Health Center with a sampling technique, namely Purposive sampling. The data was processed using the chi square test. Results: There were relationships between age characteristics (0.030), sex (0.013), occupation (0.035), marital status of respondents (0.009). There is a relationship between Information (0.004), Motivational (0.024), and Behavioral Skills (0.042) with adherence to taking ARV drugs in HIV/AIDS patients at the Kramat Jati Health Center). No association of educational characteristics (0441) with adherence to taking ARV drugs Conclusion: there is a relationship of characteristics (age, gender, occupation, employment status), and the relationship of Information, Motivational and Behavioral Skills with adherence to taking ARV drugs. Information motivation behavioral skills that are very effective for adherence to taking ARV drugs in people with HIV Keywords: Karakteristik- Information- Motivation- Behavioral Skills- Compliance ARV Share Link | Plain Format | Corresponding Author (Royani Chairiyah)

76	Mental Health and Holistic care	ABS-12
IDENTIFYING BULLYING AND ITS POTENTIAL IMPACT ON MENTAL HEALTH PROBLEM AMONG ADOLESCENTS: A SCOPING REVIEW Yusron Amin1, Haswita Haswita2 1(Mental Health and Community Nursing Department, Diploma III of Nursing, STIKES RUSTIDA, INDONESIA) 2(Mental Health and Community Nursing Department, Diploma III of Nursing, STIKES RUSTIDA, INDONESIA) Abstract Background: Bullying incidence among adolescence was still high. It could be barrier of development and mental health among adolescence. Purpose: the study aims was to identifying bullying and its potential impact on mental health problem among adolescence. Methods: The study design was a scoping review. This study using PRISMA Methods to identying and analysis of articles from electronic journal database as met inclusion criteria through using keyword bullying, mental health problem, adolescence. Results: 12 articles selected from 384 articles. From which, we identified that increasing incidence of bullying among adolescence associated with gender, age, and emotional intelligence. Individu who had been bullied potentially had high risk of mental health problem including depression, anxiety,stress, and suicide perpetration. Conclusion: Increasing incidence of bullying among adolescence had negatively impact on mental health problem including depression, anxiety,stress, and suicide perpetration. Recommendation: Need an effort to reduce bullying incidence among adolescence through optimally self empowerment based on gender, age, and emotinal intelligence Keywords: bullying- mental health problem- adolescence Share Link | Plain Format | Corresponding Author (Yusron Amin)

77	Mental Health and Holistic care	ABS-20
FAMILY PSYCHOLOGICAL PREPAREDNESS IN DISASTER EMERGENCY SITUATIONS: A SYSTEMATIC REVIEW Retna Tri Astuti (a*), Mohammad Fanani (b), Munawir Yusuf (c), Eny Lestari (d),Endang S. Sulaeman (e), Sapja Anantanyu (f) (a*,d,e,f)Doctoral Program of Development Counseling and Community Empowerment Health Promotion, Post Graduate Schools of Sebelas Maret University, Surakarta, Indonesi (b) Faculty of Medicine of Sebelas Maret University, Surakarta Regency, Central Java Province, Indonesia (c)Faculty of Teacher Training and Education of Sebelas Maret University, Surakarta Regency, Central Java Province, Indonesia Abstract Background: Disasters that occur in the world range from local earthquakes, and typhoons, to the COVID-19 pandemic. This disaster event had an impact not only on physical impacts but also psychological and socio-economic impacts. Various policies have been implemented by governments throughout the world to increase community readiness, especially for families. Family preparedness is very important in overcoming the impact of emergency disaster situations. This preparedness is not only physical but also psychological preparedness of the family. Purpose: The aim of this research is to systematically examine family psychological preparedness. Methods: A systematic review was conducted using the PRISMA model. These articles are collected together-selected from 4 database sources including Scopus, Pubmed, Science Direct, and Google Scholar. The keywords used are preparedness psychology, family, and disaster. Inclusion criteria included English language, quantitative studies, published articles 2020 to 2023. Results: The author found a review of 1433 articles, finally selecting 12 articles that met the inclusion criteria. There are 5 primary factors that influence family psychological preparedness, namely preparedness, knowledge, confidence, support, behavior, and action. Conclusion: Family psychological preparedness is very necessary during a disaster emergency. 5 primary factors can influence family psychological preparedness. Keywords: Psychological preparedness, family, disaster Share Link | Plain Format | Corresponding Author (Retna Tri Astuti)

78	Mental Health and Holistic care	ABS-41
Cognitive Behavioral Therapy to Improve the Quality of Life for Post-TBI Patients: A Literature Review Putra Agina Widyaswara Suwaryo1,2, Fairrul Kadir3, Azizan Omar4, Sukhbeer Kaur Darsin Singh5 1PhD Nursing Student, Faculty of Medicine and Health Science, Universiti Malaysia Sabah, Kinabalu, Malaysia 2Department of Emergency Nursing, Faculty of Health Science, Universitas Muhammadiyah Gombong, Kebumen, Indonesia 3Department of Emergency Medicine, Faculty of Medicine and Health Science, Universiti Malaysia Sabah, Kinabalu, Malaysia 4Department of Public Health, Faculty of Medicine and Health Science, Universiti Malaysia Sabah, Kinabalu, Malaysia 5Department of Nursing, Faculty of Medicine and Health Science, Universiti Malaysia Sabah, Kinabalu, Malaysia Abstract Background: Cognitive Behavioral Therapy (CBT) has increasingly gained recognition as an approach to enhance the quality of life for post-Traumatic Brain Injury (TBI) patients. Post-TBI often presents significant emotional and cognitive challenges for those affected. In this context, CBT emerges as an effective tool to assist patients in coping with the psychological aftermath of TBI and restoring stability in their lives. Purpose: To theoretically analyze the impact of Cognitive Behavioral Therapy on post-Traumatic Brain Injury patients. Methods: A literature review method was applied to ten articles obtained from various databases, including Wiley Online Library, Sciencedirect, SCOPUS, Cochrain Library, and Springer Link. The search keywords used were ^cognitive behavior therapy,^ ^post-traumatic brain injury,^ with ^AND^ as the Boolean operator. Article selection was carried out using the Critical Appraisal Duffy, which consists of 51 items, with categories of superior papers or a score ranging from 205 to 306. Results: CBT has the potential to enhance the quality of life for adult individuals post-Traumatic Brain Injury and may reduce symptoms in some, within the context of outpatient brain injury rehabilitation services. CBT also fosters more optimistic expectations for recovery and reduces symptoms of post-treatment depression and anxiety. Conclusion: CBT therapy can be one of the supportive alternatives in the treatment of post-TBI patients to improve their quality of life Keywords: Cognitive behavioral therapy- quality of life- post-traumatic brain injury Share Link | Plain Format | Corresponding Author (Putra Agina Widyaswara Suwaryo)

79	Mental Health and Holistic care	ABS-49
A Meta-Analysis of the Prevalence of Low Resilience Among General Population during COVID-19 Pandemic Fitria Endah Janitra and Kuei-Ru Chou School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan Abstract Background: The COVID-19 pandemic has become a global public health emergency. It is associated with a significant degree of psychological distress, which has a negative relationship with the general population^s resilience. During a pandemic, those with limited resilience are more susceptible to negative psychological effects. There are currently insufficient data regarding the prevalence of low resilience in the general population during the COVID-19 pandemic. In light of the COVID-19 pandemic, we conducted a comprehensive meta-analysis to investigate and estimate the prevalence of low resilience in the general population. Purpose: This study aims to provide an estimation of the prevalence of low resilience and its associated moderating factor. Methods: We conducted searches in the Embase, Ovid-MEDLINE, PubMed, Scopus, Web of Science, CINAHL, and WHO COVID-19 databases through August 22, 2022. We included quantitative observational studies that examined resilience in the general population facing COVID-19 as adversity. These studies used valid resilience assessment tools and reported prevalence or provided relevant raw data. We evaluated the study quality using Hoy^s assessment tool. For data analysis, we employed Comprehensive Meta-analysis software with a random effect model, including a 95% confidence interval (95% CI) Result: We retrieved 4,821 studies from the databases, and after systematic screening, 16 articles were included, encompassing 34,995 participants from 12 different countries. The pooled prevalence of low resilience was 35.1% (95% CI, 26.3%-26.3%) among general population. The prevalence of low resilience was significantly higher in females 68.8% (95% CI, 64.4%-72.9%) Conclusion: Due to COVID-19 adversity, one-third of the global population demonstrated low resilience. The female gender frequently demonstrates greater susceptibility to vulnerability and sensitivity, and their stress management skills may be insufficient to enhance their resilience. These findings provide policymakers and clinicians with vital insights for designing and implementing resilience-enhancing programs. Keywords: COVID-19, general population, psychological, resilience Share Link | Plain Format | Corresponding Author (Fitria Endah Janitra)

80	Mental Health and Holistic care	ABS-54
Association Between Alcohol to Somatic, Depression, and Anxiety Symptoms in Young Adult Reni Merta Kusuma, Rizqi Wahyu Hidayat, Vivi Leona Amelia, Min-Huey Chung Taipei Medical University Abstract Background: Alcohol has a role in mental health that could be detected by symptoms and be caused by multiple factors. This study used biopsychosocial including alcohol drinking to find potential predictors associated with somatic, depression, and anxiety symptoms. Previous studies demonstrated an association between alcohol-related health problems and mental health disorders. Moreover, few studies have been conducted on Indonesian young adults with a health education background. Purpose: To explore the association between alcohol drinking consumption and symptom of somatic, depression, and anxiety in young adults. Methods: A cross-sectional study of 357 young adults who have health education using the Brief Symptom Inventory (BSI-18). The distributions of biopsychosocial factors were determined by descriptive (n, %) and association (&#43859-2) for categorical variables- thus mean, SD, and independent t-tests for continuous variables. In the multivariate study, an adjusted odds ratio (AOR) and 95% confidence interval (CI) were obtained to explore the mount following the multivariate logistic regression for somatic, depression, and anxiety of young adults by controlling for confounding factors such as gender, physical illness, BMI, alcohol drinking, and exercise habits. Results: The finding showed considering various confounding variables, a physical illness associated with the somatic symptom (AOR 1.62 [95% CI 0.70 - 2.55]), thus exercise habit associated with depression symptom (AOR 1.23 [95% CI 0.70 - 2.55]), as well as alcohol consumption associated with the somatic symptom (AOR 1.62 [95% CI 0.70 - 2.55]), also associated with depression symptom (OR 4.80 [95% CI 1.58 - 8.02]), and associated with anxiety symptom (AOR 3.67 [95% CI 0.45 - 6.90]). Conclusion: Alcohol consumption was more likely to increase the risk of somatic, depression, and anxiety symptoms in young adults. Those above-detected biopsychosocial factors can be explored for evidence-based interventions to prevent the development of somatic, depressive, and anxious symptoms in young adults in Indonesia. Keywords: Alcohol- Somatic- Depression- Anxiety- BSI-18 Share Link | Plain Format | Corresponding Author (Reni Merta Kusuma)

81	Mental Health and Holistic care	ABS-83
The Pilot Study: Crocus sativus Linnaeus and Clitoria Ternatea for Improving the Elderly^s^ Quality of Life and Quality of Sleep in Yogyakarta Rizqi Wahyu Hidayati- Anastasia Suci Sukmawati- Yuli Astuti Universitas Jenderal Achmad Yani Yogyakarta Abstract Background: Elderly has sleep disorders that induce decreasing in quality of life. The effect of the condition is increasing the risk of complication of chronic disease. To gain the physical, physiological, and social optimalization of health, they need to improve their quality of sleep for the better quality of life. Purpose: to investigated the effectivity of Crocus sativus Linnaeus and Clitoria Ternatea for improving the elderly^s^ quality of life and quality of sleep in Yogyakarta, Indonesia Methods: The study used quasi-experiment with control group design. The sample was 40 persons and divided in 2 groups there were control and placebo group. The inclusion were hypertension diagnoses, minimum 55 years old, and the exclusion were dementia, severe cardiovascular disease, and hypersensitivity with the compound. The questioners were PSQI and WHO-QL. The analysis used t-test and Wilcoxon test (based on the normality test). Results: The Crocus sativus Linnaeus and Clitoria Ternatea were not significant in improving quality of sleep p = 0.264 (p<0.05) and the physical domain in quality-of-life p = 0.075. However, there were significant in improving quality of life domain psychological, social relationship, and environment with p = 0.007- p = 0.003- and p = 0.041. The factors which related to the results were the quality, amount of the Crocus sativus Linnaeus and Clitoria Ternatea, drugs administration, and the number of samples. Conclusion: Crocus sativus Linnaeus and Clitoria Ternatea had effective effect for improving the elderly^s quality-of-life with psychological, social relationship, and environment domain. We suggest the future research can improve the number of sample and modify the administration, or the amount of Crocus sativus Linnaeus and Clitoria Ternatea Keywords: Crocus sativus Linnaeus- Clitoria Ternatea- Elderly- Quality of Life- Quality of Sleep Share Link | Plain Format | Corresponding Author (Rizqi Wahyu Hidayati)

82	Mental Health and Holistic care	ABS-102
Selfharm Behavior and Cyberbullying Victimization as Adolescents^s Mental Health Problems: A Correlational Study. Fitri Rahma Basriyah, Zahrina Mardhiyah, Nugraha Arif Karyanta Psychology Faculty, Sebelas Maret University Abstract Adolescents are at high risk of experiencing mental health problems, such as cyberbullying and self-harm behavior. The transition from child to adult encourages radical changes in biological, cognitive, and socio-emotional ones. These changes cause various emotional fluctuations, if not well managed, can cause teenagers to maladaptive coping such as self-harm behavior and cyberbullying. The high rate of cyberbullying victimizations that occur by self-harm behavior will cause severe impacts not only on individuals but also on society level if not resolved immediately, such as decreased productivity, low capita finances, and loss of the nation^s mentally healthy next generation. This research aims to determine the correlation between cyberbullying victimization and self-harm behavior among teenagers in the city of Surakarta. The research used a quantitative approach, with a self-harm behavior scale = 0.841- 16 items) moreover, cyberbullying victimization scale = 0.932- 22 items). The sample used a cluster sampling technique of 803 teenagers (12-18 years) spread across five sub-districts in Surakarta, namely Banjarsari, Jebres, Pasar Kliwon, Laweyan, and Serengan. The tabulated data was processed using simple linear regression analysis techniques, which showed that cyberbullying victimization has a moderately significant positive correlation (F 150.025- r 0.397- p<0.05) with self-harm behavior among teenagers in Surakarta City, which means that the higher cyberbullying victimization, higher self-harm behavior happens. Keywords: Self-Harm Behavior, Cyberbullying Victimization, Adolescents, Mental Health Share Link | Plain Format | Corresponding Author (Zahrina Mardhiyah)

83	Mental Health and Holistic care	ABS-114
Title The Benefit of Saffron on Reducing Anxiety Symptoms Nursing Students Retno Sumiyarini, Khristina Diaz Universitas Jenderal Achmad Yani Yogyakarta Abstract Background: Recent study concerning healthcare-related fields has indicated that nursing students have higher levels of anxiety and have severe physiological and psychological symptoms of mental health problem than students of others majors. Common stressors perceived by nursing students, which are rigorous courses, a mandatory curriculum that requires students facing frequent transitions from classroom to intensive lab and hospital and frequent enforcement of exams. It lead to anxiety. Dealing with those situation, students attempt to deal and cope with their anxious-perceived symptoms through the negative mode of action such as consuming alcohol, marijuana, smoking, and drug abuse. It is essential to manage those problems through effective intervention. Purpose: This study aims to understand the potential effects of using saffron as an alternative therapy to treat anxiety symptoms among college students. Methods: We conducted an un-blinded experimental study. We recruited 78 nursing students who perceive stress, divided into two groups, the saffron group (n 42) and control groups (n 36). Treatment protocol was as follow saffron group received saffron as brewed drinks, while control group drinks regular tea. The treatment duration is two weeks. Using the DASS 21 Checklist, we assessed the students at baseline, and after 2 weeks completed therapy to measure the outcome. Finally, the data were analyzed using t test statistical analysis. Results: Saffron had a more significant impact on the anxiety level among the intervention group. The mean stress scores decreased from 13,8 to 9,2 for the saffron group (p 0,0001) and from 14,4 to 13,6 for the control group (p 0,24). Conclusion: Our findings suggest that saffron is as effective to reduce stress level among nursing students Keywords: Saffron, anxiety, nursing, students Share Link | Plain Format | Corresponding Author (Retno Rini)

84	Mental Health and Holistic care	ABS-120
MINDFULNESS PROGRAM TO IMPROVE QUALITY OF LIFE AND POST-PANDEMIC RELIGIOUS COPING IN THE ELDERLY AT THE TRESNA WERDHA SOCIAL PARENTAL YOGYAKARTA Rofiqoh Fadhliyah, Nisrin Alifah, Nabila Putri Alifah, Shakeela Rohmatunnisa, Muhammad Erwan Syah University of Jenderal Achmad Yani Yogyakarta Abstract This research aims to determine the effect of the Mindfulness and Religious Coping Program for Post-Pandemic Quality of Life for the elderly at the Tresna Werdha Social Home in Yogyakarta. This research uses research methods, namely descriptive quantitative and qualitative approaches with the research design used is one group pretest-posttest design. The population in this study was the elderly who were at the Tresna Werdha Social Home in Yogyakarta. To obtain subjects in this study, researchers used purposive sampling as a subject determination technique. The number of subjects in this study was 44 people. This is done because of the special characteristics of the subject. The measuring instrument used in this research is an adaptation of Quality of Life scale and Religious Coping scale. Data analysis in this study used Paired Sample T-Test. The results of the research show that the Mindfulness program has a positive effect on Mindfulness and Religious Coping for Post-Pandemic Quality of Life in the elderly at the Tresna Werdha Social Home. The results obtained are a t value of -0.942 with a significance value (Sig(2-tailed)) of 0.352 which means the value is greater than 0.05 (p>0.05). Keywords: Mindfulness, Religious Coping, Quality of Life after the Pandemic, Elderly Share Link | Plain Format | Corresponding Author (Rofiqoh Fadhliyah)

85	Patient Blood Management and Blood Health	ABS-26
EFFECTIVENESS OF TOMATO TISANE CONSUMPTION ON CHANGES IN BLOOD PRESSURE IN HYPERTENSION PATIENTS Darsini, Eko Agus Cahyono Nursing Science Study Program, Husada Jombang College of Health Sciences Nursing Study Program, Dian Husada Nursing Academy Abstract The problem of hypertension is a challenge in the field of health services that must be watched out for at this time because hypertension that occurs has the risk of triggering heart disease, stroke, kidney disease, retinopathy, peripheral blood vessel disease, nervous disorders and several other health problems. Blood pressure control therapy so that it is in optimal condition is the main key to preventing hypertension sufferers from the risk of uncontrolled increases in blood pressure. Management of blood pressure control in hypertensive patients uses two methods, namely pharmacological and complementary. One of the complementary therapies that can be done to control blood pressure is by consuming tomato fruit tisane (Solanum Lycipersicum). The aim of this study was to analyze the effectiveness of consuming tomato tisane on changes in blood pressure in hypertensive patients. The research design used is a static group comparison design. The sample for this study was some hypertension sufferers in Mojokerto Regency who met the research criteria. Data collection was carried out using observation sheets. The intervention was given to the treatment group for a period of 30 days. Data analysis was carried out using the Mann Whitney U Test. From the results of data analysis, the asymp sig (2-tailed) value was 0.031 < &#945- (0.05), so it can be concluded that there is a significant difference in the results of blood pressure measurements between the two research groups. The results of this research provide clear evidence that in nursing therapy, the use of complementary therapy as companion therapy, such as using tomato tisane to control blood pressure in hypertension sufferers, tends to be needed to improve the quality of service and appropriate treatment results. In order to get optimal results, hypertension sufferers still need a healthy lifestyle Keywords: Tisane- Tomato- Blood pressure- Hypertension Patients Share Link | Plain Format | Corresponding Author (Darsini Darsini)

86	Patient Blood Management and Blood Health	ABS-106
THE EFFECT OF ALTERNATE NOSTRIL BREATHING EXERCISE (ANBE) INTERVENTION ON REDUCING BLOOD PRESSURE IN PATIENTS WITH HYPERTENSION IN THE DAHLIA ROOM OF YOGYAKARTA HOSPITAL Juwita Novie Andriana1, Retno Sumiyarini2 Universitas Jenderal Achmad Yani Yogyakarta Abstract Background : Hypertension, commonly called ^The Silent Killer^, can give birth to several symptoms, including stress. Engaging in relaxation techniques may aid in reducing blood pressure. One such relaxation method that can be employed is the Alternate Nostril Breathing Exercise (ANBE). Objective : This study aims to investigate the impact of the Alternate Nostril Breathing Exercise (ANBE) intervention on reducing blood pressure levels among individuals diagnosed with hypertension. Methods : The present study employs a descriptive methodology, utilising a nursing care process approach to investigate the management of hypertension in patients. The study involved administering the Alternate Nostril Breathing Exercise (ANBE) intervention to participants for 3 days. The intervention was performed twice daily, in the morning and evening, for 6-15 minutes. The inclusion criteria for the study were hypertensive patients with a systolic blood pressure of &#8805-130 mmHg and/or a diastolic blood pressure of &#8805-90 mmHg. Blood pressure measurements were taken before and after the intervention to assess its effects. Results: The blood pressure measures recorded before engaging in the alternate nostril breathing exercise yielded a 158/107 mmHg reading. Subsequently, after consistently practising the alternate nostril breathing exercise for three days, the blood pressure measurements decreased to 143/81 mmHg. Conclusion : A decline in blood pressure has been observed in Mr S, a hypertensive patient currently in the Dahlia room of Yogyakarta Hospital. The patient was situated in the Dahlia room of Yogyakarta Hospital. Keywords: Alternate Nostril Breathing Exercise (ANBE), hypertension, blood pressure reduction Share Link | Plain Format | Corresponding Author (Juwita Novie Andriana)

87	Pharmacy and Complementary Therapy	ABS-34
Performance Analysis of Pharmacy Installation Based on Balanced Scorecard Method at Bhina Bhakti Husada Hospital Rembang Agnesia Nuarima Kartikasari, Nur Hidayah Master of Hospital Administration, Muhammadiyah University of Yogyakarta Abstract The quality of health services in hospital can be achieved through continuous quality improvement of performance. Therefore, it needs a performance measurement to determine the success of the hospital management strategy. Balanced scorecard is a tool that can be used in assessing performance with the concept of a balance between a financial perspective and a non-financial perspective. this method measuring a performance that does not only focus on administration and facilities infrastructure, but also human resources. This study used a non-experimental descriptive method which was descriptive analytic in nature to the data collected to analyze the performance of Pharmacy Installation at Bhina Bhakti Husada Hospital. Data obtained retrospectively and prospectively. Result of this study evaluates Pharmacy Installation performance using the Balanced Scorecard. Financially, Inventory Turnover Ratio (ITOR), Growth Ratio on Sales, and Gross Profit Margin were assessed. ITOR increased but remained below norms. Growth Ratio on Sales rose, improving sales. Gross Profit Margin enhanced, indicating better profitability. The customer perspective focused on service quality and satisfaction. Servqual analysis indicated service quality fell short of expectations, yet met ministry standards. Internally, dispensing time met service criteria, but drug availability suffered due to stock and procurement issues, though fast service was enabled by information systems. Training participation grew, while employee turnover remained high, denoting retention challenges. Dominant delegative leadership style and positive organizational culture were noted. Overall, Pharmacy Installation showed financial growth, sales improvement, and efficiency. Challenges in customer satisfaction, drug availability, and employee retention suggest the need for hospital action to enhance performance and satisfaction. Keywords: Balanced Scorecard, analysis, performance, Pharmacy Installation Share Link | Plain Format | Corresponding Author (Agnesia Nuarima Kartikasari)

88	Pharmacy and Complementary Therapy	ABS-63
The Effect of Extraction Duration on the Total Flavonoids Content of Kaempferia parviflora Wall. ex Baker Ethanol Extract Dianita Febrina Leswara, Kholif Sholehah I. Kurniasih Department of Pharmacy, Faculty of Health, Universitas Jenderal Achmad Yani Yogyakarta, Indonesia Abstract Background: Kaempferia parviflora (Black ginger) has phytochemical compounds such as flavonoids, terpenoids, essential oils, and phenols that have the potential to inhibit the growth of several pathogenic bacteria. To maximize the total extracted flavonoids needs to optimize the extraction duration. Objective: Knowing the optimum maceration duration on the total flavonoid content using the UV-VIS Spectrophotometric method on black ginger ethanol extract. Method: Black ginger is extracted using the maceration method with ethanol (70%) solvent in maceration duration of 12, 24, 36,48, and 60 hours. The extract will be tested qualitatively for flavonoids, phenolics, alkaloids, steroids, saponins, and tannins. Then proceed with the quantitative test to determine the total levels of flavonoids using the UV-VIS Spectrophotometric method. Result: Qualitative test of black ginger ethanol extract gave positive results for flavonoids, phenolics, alkaloids, steroids, and tannins. The total level of flavonoids in black ginger ethanol extract was 7,8988 &#61617- 0,1223 mgEQ/g (12 jam)- 8,5705 &#61617- 0,0,1529 mgEQ/g (24 jam)- 9,8102 &#61617- 0,0416 mgEQ/g (36 jam)- 10,6161 &#61617- 0,0768 mgEQ/g (48 jam)- 7,2594 &#61617- 0,1244 mgEQ/g (60 jam). The statistical analysis indicates a significant difference (p < 0.05) in the total flavonoid content at each maceration time. The highest total flavonoid content is observed at the 48-hour maceration time. Conclusion: The duration of maceration time significantly affects the total flavonoid content produced. The optimum maceration time results in the highest total flavonoid content, which is at 48 hours. Keywords: Black Ginger- Kaempferia parviflora- Flavonoids- Maceration- UV-VIS Spectrophotometric Share Link | Plain Format | Corresponding Author (Dianita Febrina Leswara)

89	Pharmacy and Complementary Therapy	ABS-73
Potensial Daun Sambiloto Dalam Menurunkan Kadar HbA1C Althaf Azhar Nur Fadhilah Pharmacy Student , Pharmacy-s Faculty, Universitas Airlangga, Indonesia Abstract Background: Diabetes Mellitus sufferers in Indonesia tend to show increasing rates. Natural ingredients used in traditional communities can be considered in the prevention and treatment of Diabetes Mellitus. Purpose: Identifying the effect of bitter leaves on reducing HBA1C levels in Diabetes Mellitus sufferers Methods: This research is a literature review research. The research was conducted using article data on Google Schooler. The key words used are Andrographis paniculata and HB1C human, experiments. There were 421 articles found. Results: Identification results from the article show a significant relationship between bitter leaf and HbA1c, fasting insulin levels. Conclusion: The effect of bitter leaf on prevention and treatment is proven because it can reduce HbA1c levels. Keywords: Sambiloto- HbA1c levels, Diabetes Mellitus Share Link | Plain Format | Corresponding Author (Althaf Azhar Nur Fadhilah)

90	Pharmacy and Complementary Therapy	ABS-116
MEDICATION ADHERENCE AND THERAPEUTICAL OUTCOME IN HYPERTENSION PATIENTS AT THE MLATI II HEALTH CENTER Mardiana Puji Lestari1*, Dewi Puspita Sari2 *1, 2 Program Studi Farmasi (S-1), Fakultas Kesehatan, Universitas Jendral Achmad Yani Abstract Background: Hypertension is a chronic disease characterized by an increase in systolic blood pressure >140 mmHg and/or diastolic blood pressure >90 mmHg. Hypertension is a disease that needs to be treated properly and continuously. One of the critical successes of therapy is medication adherence by patients. The existence of non-adherence did not result in the achievement of therapeutic goals Objective: This study aims to determine the correlation between medication adherence and therapeutic outcome in hypertension patients at the Mlati II health center. Methods: This research is a non-experimental study with a cross sectional design analysis. The study was conducted in 76 patients with hypertension at the Mlati II health center, where samples were taken by purposive sampling technique. Adherence was obtained in the form of adherence levels measured using the MMAS-8 questionnaire, therapeutic outcomes assessed by measuring a patient^s blood pressure. Then the data were analyzed using the Chi-square test to determine the relationship between the level of adherence to therapeutic outcomes. Results: The results showed that of 76 hypertension patients, the majority aged 46-55 years (44.7%), female gender (69.7%), senior high school (39.5%), employment status did not work (55.3%), long suffering from hypertension <5 years (76.3%), received single therapy (61.8%) with the type of antihypertension drug amlodipine (59.2%), low adherence category rate (39.5%), outcome of therapy with uncontrolled blood pressure (60,5%), and significancy level p = 0,997>0,05 Conclusion: There is no relationship between the level of adherence to the use of antihypertension drugs and the outcome therapy of controlled blood pressure at the Mlati Il health center. KEYWORDS: HYPERTENSION- ADHERENCE- THERAPEUTIC OUTCOME Keywords: KEYWORDS: HYPERTENSION- ADHERENCE- THERAPEUTIC OUTCOME Share Link | Plain Format | Corresponding Author (Mardiana Puji Lestari)

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